Idaho
Division of Occupational and Professional Licenses
MRS. ANN FUJIMOTO DISTEFANO
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4240
Date granted
07/22/2015
Date expires
10/15/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
RICHLAND WA 99352
idaholicensing.com
ID 43731028
LAST UPDATED 2024-03-02 15:12:02 UTC
LAST UPDATED 2024-03-02 15:12:02 UTC
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